A nurse is assessing a 3-year-old child with autistic behaviors, an elongated facial structure, and protrusion of the ears. The nurse suspects that the child may have which of the following syndromes?
Trisomy 21
Fragile X
Turners Syndrome
Williams Syndrome
The Correct Answer is B
A. Trisomy 21, or Down syndrome, typically presents with features like intellectual disability, a flat facial profile, upward slanting eyes, and a small mouth. The elongated facial structure and ear protrusion are not characteristic of this condition.
B. Fragile X syndrome is associated with developmental delays, autistic behaviors, and distinct physical features such as a long face, large ears, and a prominent jaw. These characteristics are consistent with the child’s presentation.
C. Turner’s syndrome primarily affects females and is characterized by short stature, webbed neck, and gonadal dysgenesis, but it does not typically involve autistic behaviors or elongated facial features.
D. Williams syndrome involves a distinct set of features including a broad forehead, short nose, and full lips. It is not primarily associated with elongated facial features and ear protrusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pancreatic enzymes are essential for children with CF to help digest food properly, especially with each meal or snack.
B. Children with CF often have higher salt needs due to excessive salt loss in sweat, so restricting salt is not appropriate.
C. Fluid intake should generally be encouraged to prevent dehydration and help thin secretions.
D. High-calorie, high-protein meals are typically recommended for children with CF to support growth and nutritional needs.
Correct Answer is B
Explanation
A. Administering saline drops may be appropriate if there is a foreign body or irritation, but it is not the priority in a case of blurred vision.
B. The priority is to assess the child's visual acuity to determine the severity and possible cause of the blurred vision. This is essential to guide further diagnostic steps.
C. Cleansing the eyes may be helpful if there is visible debris or infection, but it is not the first priority in assessing blurred vision.
D. Obtaining a history is important but would follow after the visual acuity assessment, as it can help provide context for the symptoms.
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